Health Risk Assessment

One of our primary goals is to help you stay as healthy as possible. One way we do this is by asking you some questions about your health and lifestyle and using that information to develop personalized care plans. Please take our Health Risk Assessment (or HRA). Your answers are kept confidential and we only use them to improve the care for you and your baby.

Sincerely,
Texas Children’s Health Plan

Instructions:

Download and print out the HRA form to fill out in blue or black ink only and send back to us. Please complete and return this form by mail, fax, or email: